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CT and Sonographically Guided Biopsy in a Patient with Intestinal Mucormycosis

Jeong Hyun Lee1, Hyun Kwon Ha1, Eunsil Yoo2, Suk-Kyun Yang3, Young II Min3 and Yong Ho Auh1

1 Department of Diagnostic Radiology, University of Ulsan College of Medicine, Asan Medical Center, 388-1 Poongnap-dong, Songpa-gu, Seoul, 138-736, Korea.
2 Department of Diagnostic Pathology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, 138-736, Korea.
3 Department of Gastroenterology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, 138-736, Korea.



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  		Fig. 1A. —48-year-old woman with acute lymphoblastic leukemia who presented with 2-week history of fever and left lower abdominal pain. Contrast-enhanced CT scan shows diffuse circumferential bowel wall thickening with areas of both intense (curved arrows) and poor (straight arrows) contrast enhancement. Note diffuse colonic dilatation (asterisks).

 


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  		Fig. 1B. —48-year-old woman with acute lymphoblastic leukemia who presented with 2-week history of fever and left lower abdominal pain. Follow-up contrast-enhanced CT scan shows mild improvement of bowel wall thickening of ileum. However, bowel wall definition is completely lost at multiple sites of ileum because of poor contrast enhancement and extraluminal fluid and air collections (arrowheads). Note small amounts of ascites along mesentery.

 


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  		Fig. 1C. —48-year-old woman with acute lymphoblastic leukemia who presented with 2-week history of fever and left lower abdominal pain. Contrast-enhanced CT scan reveals multiple low-density nodules diffusely scattered in liver. Nodules were not seen on initial examination.

 


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  		Fig. 1D. —48-year-old woman with acute lymphoblastic leukemia who presented with 2-week history of fever and left lower abdominal pain. Resected small intestine shows multiple hemorrhagic foci on serosal surface and mesentery. Note areas of necrosis (arrowheads). Bowel perforation (curved arrow) is seen at multiple sites.

 

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